ENCHANTED LAKE DENTAL LLC

KAILUA, HI
NPI1588355267
Entity TypeOrganization
Authorized ContactJUSTIN SJULSON
Owner
952-353-0411
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2023-05-15
Last Update Date2023-05-15
Business Address
ENCHANTED LAKE DENTAL LLC
1058 KEOLU DR STE B104
KAILUA, HI 96734-3844
Phone number: 808-261-6767
Mailing Address
ENCHANTED LAKE DENTAL LLC
1058 KEOLU DR STE B104
KAILUA, HI 96734-3844
Phone number: 808-261-6767
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